Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3009 | NJ |
Y | 103TC0700X | Clinical Psychologist | 3009 | NJ |
NPI | 1013063346 |
---|---|
Provider Name | Dr. Maureen Joyce Hudak |
First Address | Highland Park, NJ 08904-2440 |
Second Address | Highland Park, NJ 08904-2440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2007 |
Last Update Date | 08/07/2007 |